Introduction
Health delivery in the United States is in a crisis, and healthcare atmospheres are increasingly complex for both healthcare professionals and patients. The cost of healthcare has dubbed and the demand for expensive healthcare services on the rise. The increasing healthcare demands have motivated the search for new nursing care delivery operational models to ensure maximum use of available nursing resources while maintaining safe, high-quality care. An identifying innovative healthcare delivery model, which incorporates interdisciplinary healthcare delivery team, is the nursing care delivery model.
Team nursing is the common nursing care delivery model, which maximizes resources among the nursing team. The model supports professional nursing practices, which focus on the nurse-patient relationships. Team nursing involves a group of nurses who work together to deliver care through the utilization of education, diverse skills and qualification levels of each nurse. The group works collaboratively with joint responsibilities. This delivery care model relies on a registered nurse who is a team leader and who maintains effective communication and leadership skills. The total care model consists of a registered nurse (RN) who oversees the care and enrolled nurses (EN) allocated on a shift basis (Allana et al. 2014).
When assessing the effects of team nursing delivery model on patient outcomes, Fernandez points out that the model decreases the incidences of medication errors and adverse venous outcomes. The model is also associated with reduced pain scores among patients. Team nursing model does not affect the incidence of falls. In his study, Fernandez noted that there was a remarkable improvement in patient care and quality in wards where the team-nursing model was used. However, there was no difference in the incidence of infection rates and no significant differences in nursing outcomes on job satisfaction, rates of nurse absenteeism and job clarity (Fernandez et al. 2012). Also, a team nursing delivery model enables nurses with different experiences and skills provide safe care with direct supervision of experienced staff. However, this new role necessitates staff development and support (Payne & Steakley 2015).
References
Fernandez, R., Johnson, M., Tran, D. T., & Miranda, C. (2012). Models of care in nursing: a systematic review. International Journal of Evidence-Based Healthcare, 10(4), 324-337. doi:10.1111/j.1744-1609.2012.00287.x
King, A., Long, L., & Lisy, K. (2015). Effectiveness of team nursing compared with total patient care on staff wellbeing when organizing nursing work in acute care wards: a systematic review. JBI Database of Systematic Reviews and Implementation Reports, 13(11), 128-168. doi:10.11124/jbisrir-2015-2428
Payne, R., & Steakley, B. (2015). Establishing a primary nursing model of care. Nursing Management (Springhouse), 46(12), 11-13. doi:10.1097/01.numa.0000473510.53926.99
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